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From the 11/26/2021 release of VAERS data:

Found 76,104 cases where Vaccine is 6VAX-F or DPIPV or DPP or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTIPV or DTPIHI or DTPIPV or DTPPHIB or IPV or TDAPIPV and Submission Date on/before '2015-09-30'

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Case Details

This is page 6 out of 7,611

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VAERS ID: 41806 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Male  
Location: Arkansas  
Vaccinated:1992-03-09
Onset:1992-03-10
   Days after vaccination:1
Submitted: 1992-03-11
   Days after onset:1
Entered: 1992-05-07
   Days after submission:56
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 4 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0102 / 4 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Amoxicillin; decongestant
Current Illness: NONE
Preexisting Conditions: allergic-hayfever
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: AR9212

Write-up: Monday noc devel redness & swelling in rt leg where pt recvd DTP is painful & unable to bend; Not aware of pt having fever has been giving APAP; Tuesday eve noted rash-red on back-itchy; taken to MD for eval;


VAERS ID: 42332 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:1992-05-21
Onset:1992-05-22
   Days after vaccination:1
Submitted: 1992-05-22
   Days after onset:0
Entered: 1992-06-01
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 308924 / 4 LA / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Oedema, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pts mom exp same type of rxn;~ ()~~~In patient
Other Medications: Amoxicillin
Current Illness: impetigo
Preexisting Conditions: asthma-has tavist & Ventilin on hand only rare asthma attacks;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: OK9223

Write-up: Pt recvd DTP/IPV 21MAY92 w/redness & swelling in both arms even fingers; also swelling in neck & cheeks-swelling & redness almost completely goen when seen by nurse; some swelling remained in cheeks; mom to take pt to ER if any further prob


VAERS ID: 42438 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Washington  
Vaccinated:1992-04-15
Onset:1992-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1992-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / UNK - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M570HJ / UNK - / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 0658M / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Crying, Cyanosis, Hypoxia, Pyrexia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Caffeine
Current Illness:
Preexisting Conditions: s/p 24 wks preterm; chronic lung disease; stage II ADP, apnea, bradycardia, cyanosis
Allergies:
Diagnostic Lab Data: CXR-stable w/chronic changes; WBC-9,000;
CDC Split Type:

Write-up: Abnormal cry, cyanosis w/02 sats 88-90%; t101;


VAERS ID: 42632 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: California  
Vaccinated:1992-05-26
Onset:1992-05-27
   Days after vaccination:1
Submitted: 1992-05-29
   Days after onset:2
Entered: 1992-06-09
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155HN / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. NG0103 / 2 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Crying, Insomnia, Pyrexia, Screaming
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt recvd DTP/OPV/HIB on 26MAY & had fever that evening a sleepless noc & 4 hrs episode of unconsolable high pitched screaming the next morning; fever resolved 29MAY;


VAERS ID: 43342 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Kansas  
Vaccinated:1992-05-08
Onset:1992-05-09
   Days after vaccination:1
Submitted: 1992-05-19
   Days after onset:10
Entered: 1992-07-06
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 314958 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M210HK / 4 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0103 / 1 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0859T / 1 LA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp high temp @ 4mos w/DTP #2;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: KS92039

Write-up: 9MAY92 t105 R pt was given APAP & taken to ER; mom denies any redness to inject sites; mom stated noted during sleep pt jumpy, but not sure if convuls or what;


VAERS ID: 43432 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: California  
Vaccinated:1992-01-16
Onset:1992-01-19
   Days after vaccination:3
Submitted: 1992-07-06
   Days after onset:168
Entered: 1992-07-10
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 316976 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HH / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 60080 / 1 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Pathological fracture, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Osteoporosis/osteopenia (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR-fractured rib-pos;
CDC Split Type:

Write-up: pt recvd vax 16JAN92 & was fussy for next 3 days; seen by MD for extreme irritability adm r/o abd process x-ray neg (rub); d/c next day; f/u noted to have crepitus; CXR for fractured rib -pos;


VAERS ID: 43445 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Florida  
Vaccinated:1992-05-13
Onset:1992-05-13
   Days after vaccination:0
Submitted: 1992-07-03
   Days after onset:51
Entered: 1992-07-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 3 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0102 / 3 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Hypokinesia, Malaise, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt listless in evening p/vax 13MAY92 shook, pulled legs up, head down, slow to respond, gagging; lasted 5-15sec per epiosde; @ least 2 episodes;


VAERS ID: 43601 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-05-15
Onset:1992-06-14
   Days after vaccination:30
Submitted: 1992-07-05
   Days after onset:21
Entered: 1992-07-20
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-06-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Allergies:
Diagnostic Lab Data: post mortem;
CDC Split Type:

Write-up: found dead in crib;


VAERS ID: 43723 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: Idaho  
Vaccinated:1992-05-18
Onset:1992-05-20
   Days after vaccination:2
Submitted: 1992-06-12
   Days after onset:23
Entered: 1992-07-27
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 5 LA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. 30100 / 4 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1349T / 2 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dermatitis bullous, Pharyngitis, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: ID92039

Write-up: 20MAY92 pt devel an elevated temp & a blister formed on lt shoulder; blister size approx 2" in diameter; no itching; c/o sore throat-no difficulty breathing or swallowing;


VAERS ID: 43771 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: South Carolina  
Vaccinated:1992-02-26
Onset:1992-02-28
   Days after vaccination:2
Submitted: 1992-04-06
   Days after onset:37
Entered: 1992-07-28
   Days after submission:113
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 2 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Cough, Dyspnoea, Infection, Pneumonia, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: dx URI; CXR dx minimal lower lobe interstitial pneumonitis + cough & some sternal retractions;
CDC Split Type: SC92084

Write-up: pt recvd DTP/IVP on 26FEB92 & on 28FEB92 started running a fever 102; mom gave APAP; On 29FEB92 pt ran fever of 105 & mom took pt to ER; ER MD told mom it was a resp infect; CXR dx pneumonitis & cough & some sternal retraction;


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